NPI | 1962061697 |
---|---|
Entity Type | Organization |
Authorized Contact | MELINDA ANN STURGESS-STREICH Owner, Director Of Operations 405-203-4324 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-06-06 |
Last Update Date | 2019-06-07 |